| NPI | 1003824434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC M KERNER Medical Director 818-349-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051366) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-10-25 |